Shaw University

SHAW UNIVERSITY COMMENT FORM

Please complete the questions below to register your comment in writing for an equitable assessment.


(* indicates required) CONTACT INFORMATION:
*First Name:	Last Name: MI:*
*Address:
*City:	*State: *Zip:
*Phone:
*Email:
RELATIONSHIP TO THE UNIVERSITY: Please describe your place in the Shaw Community.
*STATUS: Relationship to the University at the time of the incident Student Parent Alumni Faculty Staff Other *STUDENT STATUS: Not Applicable Enrolled Graduated Probation Withdrawn Terminated
SUBJECT OF COMMENT Please provide as much information as possible, including your description of an appropriate resolution.
*Date issue occurred: [None] *Location issue occurred:
*Please provide a complete description of the issue:
*Please write your anticipated outcome of this situation. What do you want to see happen?